A recent shelling on Tuesday has killed over 24 and wounded over 40 civilians by airstrike and artillery fire in Syria’s province of Idlib.

Idlib is one of the last major regions being held by rebel fighters and Jihadists opposed to the President Bashar al-Assad. The bombing was executed by the Syrian government and their Russian allies. According to The Syrian Observatory for Human Rights, the ground-to-ground missile discharged by the government hit a temporary maternity clinic in camp that was set up near the border to Turkey for those who were displaced.

The United Nations estimates that the region is home to more than three million people, with one third being children. They have also estimated that 40 percent of the population come from other previously opposition-held areas.

The ceasefire that occurred in September 2018 was administered by Russia, on Assad’s side, and Turkey, on the opposition’s side, with the intention of saving Idlib from the impending regime attack, but this did not go according to plan. According to The Guardian, the ceasefire unravelled after the hard-line Hayat Tahrir al-Sham (HTS) wrested control of the area from more moderate rebel groups in January and fighting still continues in the north-east. Russia’s military campaign are in support of Assad, while Turkey supports the opposition.

Despite all of this, attacks and battles are still a daily occurrence. This assault was also not an isolated one: on 7 December air strikes occurred in opposition-held areas that reportedly killed 20 people. One of the areas was a market in the village of Balyoun, where nine people were killed.

In November, the United Nations Commission on Human Rights declared that there had been more than 1,000 civilian casualties in north-west Syria since April this year. This is a direct consequence of the hostilities between pro-government and opposition forces. BBC also reports that “Dozens of attacks against medical facilities and staff have also been verified.” In addition to this, the U.K.-based monitoring group, The Syrian Observatory for Human Rights, has verified over 250 deaths since the ceasefire.

Assad and the Russian allies began the airstrikes and limited ground campaigns on 26 April. This most recent attack is just one of 11,500 carried out since April. Many of the bombs being used are actually illegal under international law and have been used to target schools, hospitals and other civilian buildings. A staggering 42,000 people have fled their homes in the past week.